In February 2006, Dr. Rosemary Johann-Liang, a drug safety supervisor, recommended that the labels of both Avandia and Actos receive the agency’s most severe safety warning — called a “black box” — for their tendencies to worsen the risks of heart failure, a problem distinct from the heart attack risks seen only in Avandia.
Her recommendation was ignored and she was punished for it, Dr. Johann-Liang said in an interview last month. In June, the agency announced that it had decided to follow Dr. Johann-Liang’s advice. By then, she had tendered her resignation.
This is just another example of unsafe drugs finding their way into the marketplace. The public is just guinea pigs. When enough people die, the FDA steps in and removes the drugs from the market.

